TMCA Application Form

APPLICATION FORM
TEXAS MUNICIPAL COURTS ASSOCIATION MEMBERSHIP
(ASSOCIATION FISCAL YEAR SEPTEMBER 1 – AUGUST 31)

Name: _____________________________ Title: __________________________

City: __________________________ County: ____________________________

Mailing Address: ____________________________________________________

________________________
_____
_________

(_______)________________

city
state
zip

telephone no.

E-Mail Address:_______________________________________ FAX: ________________________________

Please check appropriate boxes: oNew Member oRenewal

oAttorney

oJudge

oClerk

oOther ____________________

Years in present position ______

Are you also a Justice of the Peace? ______

ENCLOSED IS $35.00 CHECK FOR DUES: CHECK NUMBER ________________

______________________________
signature

Mail Completed Form With Dues To:

TMCA TREASURER
1350 NASA ROAD ONE, SUITE 200
HOUSTON, TEXAS 77058-3165

Print this form and mail it with your dues to the address above, or bring it to the next TMCA/TMCEC seminar or function you attend.

________________________	_____	_________	(_______)________________
city	state	zip	telephone no.
E-Mail Address:_______________________________________		FAX: ________________________________